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General NPI Number Information
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NPI Number | 1952624926
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Entity Type | Organization
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Legal Business Name | MINDFUL SOLUTIONS
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 3595 S TOWN CENTER DR SUITE 116
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City | LAS VEGAS
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State | NV
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Zip | 89135-3019
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Country | US
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Telephone | 702-290-0787
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Fax | 702-479-7285
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Provider Business Mailing Address
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Address Line | 3595 S TOWN CENTER DR SUITE 116
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City | LAS VEGAS
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State | NV
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Zip | 89135-3019
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Country | US
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Telephone | 702-290-0787
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Fax | 702-479-7285
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RHONDA FAYE DUNCOMBE
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Credential | LMFT, LADC
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Telephone | 702-290-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1229
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01057
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License Number State | NV
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